British Association for Sexual Health and HIV

National Audit Group

Announcement
Thank you for submitting data online for the BASHH National Audit of the Management of Chlamydial Infection which opened on 3 September 2007 and closed on the 31 October 2007.

• Aims
• Constitution / Terms of Reference
• Confidentiality Policy
• Membership
• Recent Activities, Publications and Presentation
• Reports
• Questionnaires / Reviews
• Minutes / Agenda of meetings
  

The National Audit Group (NAG) was founded in 2003 with the following aims:

• to devise proformas for the common genito-urinary conditions, using the clinical guidelines of the Clinical Effectiveness Group (CEG) as the standard of care
• to act as a forum to discuss regional audit programmes,  enabling collation of consistent data to plan national audits,
• to respond to requests for national audits by the British Association of Sexual Health and HIV.

The National Audit Group is a sub-group of the Clinical Governance Group of BASHH.

The group conducted its first National Audit in 2003 on the management of gonorrhoea. This was published in Int J STD AIDS (see below for reference), and showed broad adherence to the National Guideline, and achievement of the outcome standards.

The annual audit in 2004 was on the management of early syphilis. This was published in three papers, in Int J STD AIDS (see below). Data were collected on an electronic database, which allowed easier comparisons of inter and intra regional variations. Regional data were circulated to regional audit chairs for local presentation and action to improve outcomes. Particular areas for concern were variation in treatment regimes and outcome of contact tracing in early syphilis.

The first national audit by the non- consultant career grade group used an adapted version of the chlamydia audit proforma, in a highly successful audit published in Int J STD AIDS.

The 2005 audit was a collaborative exercise with the Health Protection Agency. This looked at the offering of HIV antibody testing to men who have sex with men. This was presented as a poster at the EADV meeting (see below). 97% of MSM in England were offered a test as new patients. 84% of these accepted the offer. Clinics were less good at offering tests to re-attenders. This last point should be addressed in Regional Audit Groups. R egional chairs received local data for discussion on measures to improve uptake of testing in this group. This is due for submission to a journal in the near future.

The audit for 2006 was on the Sexual Healthcare of HIV Seropositive. Results are being disseminated via Regional Audit Chairs to participating centres. Dr Chris Carne presented the results to the BASHH OGM in March. Dr Hugo McClean presented a poster at the BASHH Spring meeting in Blackpool. Two papers have been published in the Int J STD AIDS.

The 2007 audit is on Chlamydia. We are grateful to BASHH for funding to enable this to be conducted electronically, and to Hilary Curtis of BHIVA for her assistance with this.

The 2008 National Audit will be on Sexual History Taking and Asymptomatic Screening". This will again be conducted on-line with the help of Hilary Curtis.

The regional audit leads have contributed to a set of proformas for conducting audit into the common sexually transmitted infections. These are posted below and can act as a template for local/regional audits.

Comments may be emailed to david.daniels@ukonline.co.uk or christopher.carne@addenbrookes.nhs.uk Recent additions are the ones on prostatitis, pubic lice and scabies, taking a sexual history, and sexual healthcare of people with HIV infection.

PUBLICATIONS

1. Price IH, Menon-Johansson A, Daniels D. National Audit Group of the British Association for Sexual Health and HIV. A national Audit of gonorrhoea management. Int J STD AIDS 2006; 17: 133-4.
2. McClean H, Daniels D, Carne C, Bunting P, Miller R. National Audit Group of the British Association of Sexual Health and HIV. UK national audit of early syphilis management case-notes audit: contact tracing, information giving, follow-up and outcomes. Int J STD AIDS 2006; 17 : 340 – 3.
3. McClean H, Daniels D, Carne C, Bunting P, Miller R. National Audit Group of the British Association of Sexual Health and HIV. UK national audit of early syphilis management case notes audit: diagnosis and treatment. Int J STD AIDS 2006; 17: 334-9.
4. McClean H, Daniels D, Carne C, Bunting P, Miller R. National Audit Group of the British Association of Sexual Health and HIV. UK national audit of early syphilis management. Clinics audit: screening for and management of early syphilis. Int J STD AIDS 2006; 17: 344-8.
5. McClean H, Carne C, Bunting P, Wilkins E, Tucker L, Baguley S, Daniels D, on behalf of the National Audit Group of the British Association for Sexual Health and HIV. UK national audit of sexual health care for people with HIV infection: clinic policies. Int J STD AIDS 2007; 18:635-8
6. Carne C, McClean H, Bunting P, Wilkins E, Tucker L, Baguley S, Daniels D, on behalf of the National Audit Group of the British Association for Sexual Health and HIV. UK national audit of sexual health care for people with HIV infection: case-notes audit. Int J STD AIDS 2007; 18:639-42

CONFERENCE PRESENTATIONS

• McClean H, Daniels D, Carne C, Bunting P, Miller R. UK National Audit Of Early Syphilis Management. BHIVA/BASHH Spring Meeting. Dublin. 2005.

• Munro H, Lowndes C, Robinson A, Sullivan A, Daniels D. HIV Testing: Offering and uptake of tests among men who have sex with men attending genitourinary clinics in the UK – the national picture. Poster. 14 th Congress of the European Association for Dermatovenereology, London, 2005.

• McClean H. Evidence into Practice - UK National Audit of Early Syphilis Genitourinary Medicine Clinics 2002-03. Case notes Audit. BASHH Spring Meeting. Nottingham. 2006.

• McClean H, Carne C, Bunting P, Wilkins E, Tucker L, Baguley S, Daniels D. UK National Audit of Sexual Healthcare of People with HIV Infection. Poster Presentation. BASHH Spring Conference. Blackpool, UK. 2007.
  

The national results of the 2007 BASHH National Chlamydia Audit are available on a spreadsheet, (this file may take some time to load) along with accompanying notes. A summary of this report is also available as a Powerpoint presentation.
The national results of the Clinic Policies part of the 2007 Chlamydia Audit are also available on a spreadsheet.
A table showing regional chlamydia contact tracing performance is also available. The online questionnaires used in the 2007 Chlamydia Audit have now replaced the previous questionnaires on the National Audit Group's audit proforma matrix.

The results of the 2006 National audit are available as a report entitled National audit of sexual healthcare of people with HIV 2006. This report is also available as a Powerpoint presentation
The results of the clinic policy section of the 2006 National audit of sexual healthcare of people living with HIV are available here.

The National Early Syphilis Audit Report 2004 - presented at the BASHH Spring Meeting in Dublin 2005.